Dynamics and structure of mortality from chronic coronary artery disease among men and women in the Russian Federation in 2014-2023

Russian Journal of Cardiology, Journal Year: 2024, Volume and Issue: 29(12S), P. 6198 - 6198

Published: Dec. 2, 2024

Aim. To assess the dynamics of non-standardized (NSMR) and standardized mortality rates (SMR) chronic coronary artery disease (CAD), contribution to all-cause mortality, as well structure CAD among men women in Russian Federation 2014-2023. Material methods. Rosstat data on one-year age groups patients for 2014-2023 accordance with Brief Nomenclature Death Causes. The calculations were performed using program (certificate state registration computer dated September 30, 2016, № 201666114). European standard (European Standard Population, 1976) was used calculate SMR. Results. A decrease SMR from found both (2014 — 147,6 per 100 thousand population, 2023 126 population) 275 221 population). NCMR differences did not exceed 5%, while differed by almost 2 times due disproportion (in ≥80 years women, there 60% deaths CAD, 23,6%). proportion 23,9%, 23,4%. highest values recorded "I25.1 Atherosclerotic heart disease" (the 2014 64,5%, 56,8%; 60,4% 51,4%, respectively). In "I25.2-6,8 Other forms CAD" increased 21,5%, 29,3%, 37% 46%, I25.0 I25.9 significantly decreased, amounting <4% 2023. Conclusion. obtained results indicate problems defining individual underlying cause death, which complicates understanding death causes. It is necessary consider creating uniform guidelines Federation, where classification according ICD-10 would be adapted clinical terminology most probable variants, main principles morphological classification. Typification coding approaches will serve improve quality analysis statistics subsequent adoption targeted management decisions.

Language: Английский

ACUTE KIDNEY INJURI OF PATIENTS WITH ACUTE MIOCARD INFARCTION

Zabajkalʹskij medicinskij vestnik, Journal Year: 2024, Volume and Issue: 2, P. 11 - 19

Published: July 23, 2024

Aim of research – the comparative analysis frequency and identification factors for development acute kidney injury (AKI) in patients with myocardial infarction (MI) without formation pathologic Q-tooth. Material methods. The total 134 were studied divided into 2 groups: Group 1 coronary heart disease (CHD) MI Q tooth (n = 29); CHD 105). Inclusion criteria are first-ever MI, age older than 18 years, increase serum creatinine level above 26.5 μmol/l within 48 hours decrease diuresis less 0,5 ml/ kg/h, informed voluntary consent participation study. Exclusion terminal chronic renal failure, under failure left ventricular ejection fraction (LVEF) below 40%, anamnesis, refusal to participate Results . Among signs AKI detected 40 (29,9%) patients. In group 1, mean value glomerular filtration rate (GFR) was 41,0 ± 8,2, it 73,2 13,9 ml/min/1,73m Signs observed 20 (69,0%) patients, (19,0%) study groups revealed that compared had higher body mass index (BMI)(p < 0,001), more often concomitant (CKD) (p lower hemoglobin typical arterial hypotension noted at prehospital stage 0,034). addition, likely develop complications such as bleeding site puncture during percutaneous intervention (PCI) 0,046), pulmonary edema 0,001) cardiogenic shock (CS) 0,001). length stay Intensive Therapy Resuscitation Department 11,5 3,6 bed days, 9,6 3,9 days 0,019), 8 (27,6%) (1,1%) died, respectively Conclusion. Early 29,9% MI; this condition frequent who a formed wave (69%). High BMI 0,02), increased blood levels HDL 0,006) cholesterol decreased 0,013) initial CKD contributing AKI.

Language: Английский